Kerk, Andrew J
Kerk, Andrew J is an individual health care provider with primary practice located at 1177 Quail Ct Ste 200, Pewaukee WI 53072. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kerk, Andrew J can be contacted via phone (262) 695-3057.Contact Information
Primary practice address
1177 Quail Ct Ste 200
Pewaukee WI 53072
Phone: (262) 695-3057
Fax: (262) 695-3063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2675024 | Wisconsin |
Profile Details
| NPI number | 1417906926 |
|---|---|
| LBN Legal business name | Kerk, Andrew J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417906926 | NPPES |
| Wisconsin | MEDICAID | 40089300 |
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